Ati lpn med surg musculoskeletal system test proctored exam
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take?
Explanation & Rationale
A. The nurse should never loosen knots or adjust the traction without a provider’s prescription, as this can compromise alignment and healing. B. Bony prominences should be checked at least every 8 hr (not every 12 hr) to prevent skin breakdown and pressure injuries. C. Povidone-iodine is no longer recommended for pin site care because it can damage tissue; chlorhexidine or sterile saline is typically used per protocol. D. Ensuring the weights hang freely maintains the continuous pulling force necessary for proper alignment and healing of the fracture, making this the correct action.
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